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A Human Resource Management Approach
STRATEGIC COMPENSATION
Prepared by David OakesChapter 10Legally Required Benefits
Legally RequiredBenefits Social Security
Workers Compensation
Family & Medical Leave
Social Security Programs Unemployment insurance
Old Age, Survivor, and Disability Insurance (OASDI)
Medicare
Unemployment Insurance Unemployment not workers fault States administer within federal guidelines States send money to federal government Agriculture & domestic workers are exempt
Unemployment Eligibility Did not leave job voluntarily Able and available for work Actively seeking work Has not refused suitable work Not off due to labor dispute Not fired for gross work violations
OASDI Old Age, Survivor, and Disability Insurance Enacted in 1935, for retirement Survivors insurance added 1939 Disability insurance added 1965
OASDI Exemptions Civilian federal workers Railroad employees (before 1984) State & local government workers Children Under 21, if working for a parent Unless over 18, working in the familys business
OASDI Retirement Requirements Earn 40 quarters of credit, or Be employed for 10 years Be age 62 for partial benefits Be age 65 for full benefits In 2022, be age 67
OASDI Survivors Benefits Based on Eligibility Status & Relationship Deceased was fully insured Dependent, unmarried children Widow(er) age 60 + Dependent parent age 62 +
Disability Benefits Worker was fully insured Meets Social Security work requirements Varies according to age & disability Disability must last 1 year or be terminal 6 Months waiting period
Medicare For citizens age 65 + Provided insurance coverage for Hospitalization Convalescent care Major doctor bills Prescription drug costs
Medicare Options Part A Part B Medigap Medicare Advantage (Part C) Prescription Drug Program
Medicare Part A Covers inpatient & outpatient hospital care & services Provides unlimited in-home care Participants Social security beneficiaries Retirees Voluntary enrollees Disabled Employer & employee financed
Medicare Part B Voluntary supplementary medical insurance $110 deductible, then covers 80% Financed by government & enrollees Participants Part A enrollees Those on social security Railroad retirees
Part B Coverage Diagnosis, therapy, surgery Consultations Medical services & supplies Medications not self administered Outpatient hospital services Home health services
Medigap Supplements Parts A & B Through private insurers 10 standardized choices Medicare Select Option Lower premiums for fewer choices Not offered in all states
Medicare Advantage Medicare + Choice, Part C Established through Balanced Budget Act of 1997 Alternative to Parts A & B Options Fee-for-services Managed care plans Medical savings accounts
Medicare Prescription Drug Program Part D Covers 75% after $250 deductible up to $2,250 Cover 95% after $3,600 out-of-pocket Employer subsidy for similar plan
Workers Compensation State compulsory disability laws Enacted in 1911 Employer liable regardless of fault Maritime, federal civilian, domestic agriculture, & small business workers not covered
Objectives Provide income & medical benefits Reduce litigation Relieve charities financial drain Eliminate legal fees & time Encourage employer safety Promote accident study & avoidance
NCSWCL Obligations Take initiative in administration Review performance & adjust Inform workers & insure payment Inform providers & employers Resolve disputes Adjudicate unresolved claims
Workers Compensation Claims Injury
Occupational disease
Death
Workers Compensation Benefits Medical services Disability income Death benefits Rehabilitative services
FMLA Benefits 12 weeks of unpaid leave for Birth, adoption, foster care Serious family medical problems Workers serious medical problem Retention of Seniority Health insurance coverage Credit for previous service Accrued retirement benefits